Special Notice / Hearing: None__
Vote Required: Majority
To: Honorable Board of Supervisors
From: Louise F. Rogers, Chief, San Mateo County Health
Marc Meulman, Director, Public Health, Policy, and Planning
Subject: Public Health, Policy, and Planning Fee Schedule Update
RECOMMENDATION:
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Adopt a resolution updating the Public Health, Policy, and Planning Fee Schedule effective July 1, 2023.
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BACKGROUND:
The San Mateo County Public Health, Policy, and Planning Fee (PHPP) Schedule (Fee Schedule) includes fees charged by the Public Health Laboratory (PHL), Public Health Clinics, and Vital Statistics. Fee-based services include clinical and environmental testing, vaccines, medical services, birth and death certificates, and Medical Marijuana identification cards.
The fees charged are determined by considering the cost of providing services and the need to prevent fees from becoming a barrier to testing for communicable diseases. Some fees may be waived for persons determined to be at risk for transmitting a communicable disease on to others.
DISCUSSION:
The Fee Schedule is updated annually to add fees for new services, eliminate fees that are no longer necessary, and align fees with changing costs. A cost-based methodology is used for transparency and to help PHPP determine the financial viability of services. The fees do not exceed the cost of providing the product or the service of enforcing the regulation for which the fees are levied. The methods used to determine the fees for each program are as follows:
Health Clinic fees are determined by historical benchmarking. Some immunization fees are based on materials provided by external agencies. Fees for lab tests provided by the PHL are matched to the PHL fee schedule.
PHL clinical testing fees have been changed to align with the Centers for Medicare and Medicaid Services' 2023 Clinical Laboratory Fee Schedule. PHL environmental testing fees were calculated by allocating a...
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